Individual
DR. ROBERT LAFORREST SHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
125 MEDICAL CIR, WEST COLUMBIA, SC 29169-3655
(803) 348-8976
Mailing address
221 SPRINGS CT, WEST COLUMBIA, SC 29170-2474
(803) 348-8976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3801
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3801
—
SC
Enumeration date
04/10/2007
Last updated
07/08/2007
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